I got pneumonia because, most likely, I aspirated food or liquid.
This is how ALS works. It gets worse and worse. Life becomes harder and harder. Even fun becomes more arduous.
Make the best use you can of your brief time on this earth. Do today what will make you proud tomorrow, proud on your deathbed.
And now we know what it is like to be laid low, abandoned by Lady Luck.
That is probably the best we can hope for now. To make meaning, find peace, and ensure that Carl has the best childhood possible, despite our personal tragedy.